| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.69 | $1,639.00 | $4,473.00 | |
Aetna
| Professional | $113.51 | $153.31 | $268.39 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $108.19 | $142.97 | $238.44 | |
Cigna
| Professional | $110.80 | $162.16 | $253.64 | |
Hometown Health
| Professional | $95.68 | $159.82 | $251.55 | |
Hometown Health
| Professional | $1.08 | $100.72 | $249.89 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $139.68 | $179.73 | $313.75 |